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FEC FORM 2

STATEMENT OF CANDIDACY

FILING FEC-1133519

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1. Dr. Michael C. Burgess

PO Box 2334
Denton, TX 762022334

2. Identification Number: H2TX26093

3. Party: Republican Party

4. Office Sought: House of Representatives

5-6. State & District of Candidate: Texas - 26

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DESIGNATION OF PRINCIPAL CAMPAIGN COMMITTEE

7. I hereby designate the following named political committee as my Principal Campaign Committee for the 2018 election(s).

    Michael Burgess for Congress
    FEC ID #: C00372532

    PO Box 2334
    Denton, TX 762022334

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DESIGNATION OF OTHER AUTHORIZED COMMITTEES

8. I hereby designate the following named committee, which is NOT my principal campaign committee, to receive and expend funds on behalf of my candidacy.

    For A Better America
    FEC ID #: C00625368

    PO Box 823047
    Dallas, TX 75382

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DECLARATION OF INTENT TO EXPEND PERSONAL FUNDS (House or Senate Only)

9. I intend to expend personal funds exceeding the threshold amount (see 11 C.F.R. 400.9) by

    9A. 0.00 for the primary election, and
    9B. 0.00 for the general election

Signed as: Dr. Michael C. Burgess
Signed by the candidate on: 12/08/2016

Filed: 12/08/2016

(End FEC FORM 2)

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